Individual
TRENT KAPLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10625 W NORTH AVE, SUITE 102, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
2381 PRISTINE LN, SUAMICO, WI 54313-3610
(920) 606-4235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3810-23
WI
Other
Enumeration date
06/16/2016
Last updated
07/12/2016
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